Clinical trial Recruiting at 18 sites Phase 1 Interventional Ages 18 and up

NRM-823 for advanced or metastatic refractory solid tumors

Official title: A Phase 1a/1b Study of NRM-823 as Monotherapy and in Combination With Immune Checkpoint Inhibition in Participants With Locally Advanced or Metastatic Refractory Solid Tumors

Run by Normunity AccelCo, Inc. · NCT07182149 · Data updated 2026-11-12

This trial tests whether NRM-823 is safe and can help people with advanced or metastatic head and neck, esophageal, gastric, or related cancers.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment150 (estimated)
SponsorNormunity AccelCo, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations18 sites (Denver, Colorado and 17 other locations)
StatusRecruiting
StartedOctober 30, 2025
Main results expectedMay 30, 2027
Study endsOctober 31, 2028
Registry record updatedAugust 18, 2026
Trial IDNCT07182149 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with histologically confirmed locally advanced or metastatic HNSCC, ESCC, esophageal adenocarcinoma, gastric/GEJ adenocarcinoma (or other eligible solid tumors listed in the protocol) who have ECOG 0-1 and adequate organ and marrow function and meet protocol washout requirements.

Probably not a fit

Patients with poor performance status (ECOG >1), significant organ dysfunction, recent anticancer therapy within specified washout windows, or prior high-grade pneumonitis are unlikely to benefit from or be eligible for this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

NRM-823 is being studied in a Phase 1 dose-escalation and expansion format for adults with locally advanced or metastatic refractory solid tumors, focusing on head and neck, esophageal, gastric, and GEJ cancers. Part A uses escalating doses to define safety, tolerability, and a recommended dose, Part B enrolls an expansion cohort at that dose to better characterize safety and early activity, and Part C explores adding a checkpoint inhibitor to the drug to assess combination tolerability. Eligible participants need ECOG 0-1 and adequate organ and marrow function and must meet specified washout periods from prior therapies. The primary objectives are safety and tolerability with exploratory evaluation of anti-tumor signals, conducted at Normunity investigational sites in the United States.

Why it matters

Potential benefit: If successful, NRM-823 could become a new treatment option that controls tumor growth for patients with refractory head and neck and upper gastrointestinal cancers.

How similar studies have gone: While combining novel targeted agents with checkpoint inhibitors has shown benefit in some cancers, NRM-823 itself is at first-in-human/Phase 1 stages with limited prior clinical data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Have histologically- or cytologically-diagnosed NSCLC (squamous or adenocarcinoma), TNBC, HNSCC, ESCC, esophageal adenocarcinoma, gastric/GEJ adenocarcinoma, cervical, endometrial, or ovarian cancer which is advanced or metastatic.
* Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
* Adequate liver, renal, pulmonary, and cardiac function.
* Adequate hematologic function.

Exclusion Criteria:

* Has received cytotoxic chemotherapy, biologic anticancer agents, checkpoint inhibitors, or radiation therapy (excluding bone-only radiation therapy) ≤3 weeks or 5 half-lives (whichever is shorter) prior to the first dose of NRM-823
* History of Grade 2 pneumonitis requiring steroids or any Grade 3 or 4 pneumonitis from any prior therapy.
* Has received an investigational therapy \<4 weeks or 5 half-lives prior to the first dose of NRM823, whichever is shorter prior to the first dose of NRM-823.
* With the exception of alopecia and Grade ≤2 neuropathy, any unresolved toxicities from prior therapy greater than CTCAE Grade 1 at the time of starting study drug.

Where it's running

  • Normunity Investigational Site
    Denver, Colorado, United States
    Recruiting
  • Normunity Investigational Site
    New Haven, Connecticut, United States
    Recruiting
  • Normunity Investigational Site
    Washington D.C., District of Columbia, United States
    Recruiting
  • Normunity Investigational Site
    Boston, Massachusetts, United States
    Recruiting
  • Normunity Investigational Site
    Boston, Massachusetts, United States
    Recruiting
  • Normunity Investigational Site
    Minneapolis, Minnesota, United States
    Recruiting
Show 12 more locations
  • Normunity Investigational Site
    St Louis, Missouri, United States
    Recruiting
  • Normunity Investigational Site
    Hackensack, New Jersey, United States
    Recruiting
  • Normunity Investigational Site
    Maumee, Ohio, United States
    Recruiting
  • Normunity Investigational Site
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Normunity Investigational Site
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Normunity Investigational Site
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Normunity Investigational Site
    Charleston, South Carolina, United States
    Recruiting
  • Normunity Investigational Site
    Nashville, Tennessee, United States
    Recruiting
  • Normunity Investigational Site
    Dallas, Texas, United States
    Recruiting
  • Normunity Investigational Site
    Houston, Texas, United States
    Recruiting
  • Normunity Investigational Site
    San Antonio, Texas, United States
    Recruiting
  • Normunity Investigational Site
    Fairfax, Virginia, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.